NPI | 1114443819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-08-15 |
Last Update Date | 2017-10-11 |